Respiratory and cardiovascular disorders specific to the perinatal period

Historical Changes

• •FY 2025: Routine maintenance updates with minor terminology clarifications
• •FY 2024: Enhanced specificity requirements for certain code ranges
• •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

• •Proposed updates pending review by Coordination and Maintenance Committee
• •Under consideration: Enhanced digital health integration codes

Implementation Guidance

• •Review all FY 2026 updates for P00-P96 codes before implementation
• •Always verify the most current codes in the ICD-10-CM manual
• •Ensure clinical documentation supports the selected diagnosis codes
• +3 more guidance items...

Key Usage Points:

• •Always code for the highest level of specificity.
• •Use additional code(s) from Chapter 16 to indicate any associated conditions.
• •Remember to code also any associated maternal conditions.
• •Use additional code to identify any associated tobacco use.
• •If the condition occurs in the newborn, assign a code from category P29.

When to Use:

• ✓When a newborn has a respiratory condition originating in the perinatal period.
• ✓When a newborn has a cardiovascular disorder originating in the perinatal period.
• ✓When a newborn has a condition due to maternal factors.
• ✓When a newborn has a condition due to complications of pregnancy, labor, or delivery.

When NOT to Use:

• ✗When the condition did not originate in the perinatal period.
• ✗When the condition is not a respiratory or cardiovascular disorder.
• ✗When the condition is due to genetic or congenital factors.
• ✗When the condition is not specific to the perinatal period.

Common Documentation Errors:

• ⚠Not coding for the highest level of specificity
• ⚠Not including associated conditions or complications
• ⚠Not including relevant maternal conditions
• ⚠Not indicating the origin of the condition